目的:探讨急诊输尿管镜下钬激光碎石术治疗输尿管结石并发肾绞痛的疗效.方法:对76例因输尿管结石并发肾绞痛患者,采用输尿管镜下钬激光碎石术.结果:2例因结石上移至肾盂,2例因输尿管下段狭窄使输尿管无法到达结石部位手术失败,其余72例均碎石成功,术后当天肾绞痛缓解.碎石成功率为94.7%,术后肾绞痛缓解率为97.4%.结论:输尿管镜下钬激光碎石术治疗输尿管结石引起的肾绞痛,是一种安全、有效的方法.%Objective: To evaluate the clinical efficacy of ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi with renal colic in emergency. Method: A total of 76 cases of ureteral calculi with renal colic were treated by ureteroscopic holmium laser lithotripsy. Result: Successful lithotripsy was achieved in 72 cases, two cases failed due to movement of calculus to pelvis and another two failed because of ureterostenosis at inferior segment. The successful rate of lithotripsy was 94.7%, The relief rate of renal colic was 97.4%. Conclusion: Ureteroscopic holmium laser lithotripsy is an effective and safe method for the treatment of ureteral calculi with renal colic.
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